| Entity Name: | JULIO CESAR PEREZ MD PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 May 2017 (8 years ago) |
| Document Number: | P17000039386 |
| FEI/EIN Number | 82-1418453 |
| Address: | 11250 SW VANDERBILT CIRCLE, PORT ST LUCIE, FL, 34987, US |
| Mail Address: | 11250 SW VANDERBILT CIRCLE, PORT ST LUCIE, FL, 34987, US |
| ZIP code: | 34987 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639608805 | 2017-06-09 | 2022-07-21 | 11250 SW VANDERBILT CIR, PORT SAINT LUCIE, FL, 349872779, US | 865 SE MONTEREY COMMONS BLVD, STUART, FL, 349963337, US | |||||||||||||||||||
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| Phone | +1 786-546-0266 |
| Phone | +1 305-603-7414 |
Authorized person
| Name | JULIO CESAR PEREZ |
| Role | MD |
| Phone | 7865460266 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME121528 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PEREZ JULIO C | Agent | 11250 SW VANDERBILT CIRCLE, PORT ST LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| PEREZ JULIO C | President | 11250 SW VANDERBILT CIRCLE, PORT ST LUCIE, FL, 34987 |
| Name | Role | Address |
|---|---|---|
| LOPEZ VITIA | Vice President | 11250 SW VANDERBILT CIRCLE, PORT ST LUCIE, FL, 34987 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-02-27 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-03-08 |
| Domestic Profit | 2017-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
